In exam has virshow node
Bx revealed met adenocarcinoma
In chest ct lingula mass about 4*3 cm but she didn’t accept bx
Hip mri showed om vs septic arthritis without avn
She recieved cilistin and tazocin for 1 month but didn’t response
Bc and uc were negative
Hip sono didn’t show any effusion
She refused bone bx too
What’s your recommendation for joint pain and fever? Our plan for malignancy is IHC on previous bx
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